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Downtown Health And Rehabilitation Center

424 South Adams Street, Fort Worth, TX 761048173355781Ownership: Government - Hospital districtCertified beds: 161Avg. daily residents: 99Chain: Creative Solutions In Healthcare (149 facilities)County: Tarrant
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Downtown Health And Rehabilitation Center, a Medicare & Medicaid–certified nursing home in Fort Worth, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Downtown Health And Rehabilitation Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 94% is well above the Texas average of 55%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $36,418 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.24 total nurse staff hours per resident per day
about the state average (3.39)
0.35 RN hours per resident per day
below the state average (0.43)
2.83 weekend nurse staff hours per resident per day
93.6% total nursing staff turnover
above the state average (55.3)
88.9% RN turnover

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

March 12, 2026 most recent standard health inspection
11 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
36 health deficiencies in the two prior cycles combined
$36,418 in federal fines across 3 penalties (last 3 years)
below the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

52 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 16, 20260761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all… ComplaintD · Potential for more than minimal harm
June 16, 20260880Provide and implement an infection prevention and control program. ComplaintD · Potential for more than minimal harm
May 7, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintD · Potential for more than minimal harm
May 7, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintD · Potential for more than minimal harm
May 7, 20260610Respond appropriately to all alleged violations. ComplaintD · Potential for more than minimal harm
March 12, 20260880Provide and implement an infection prevention and control program.F · Potential for more than minimal harm
March 12, 20260558Reasonably accommodate the needs and preferences of each resident.D · Potential for more than minimal harm
March 12, 20260635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D · Potential for more than minimal harm
March 12, 20260677Provide care and assistance to perform activities of daily living for any resident who is unable.D · Potential for more than minimal harm
February 17, 20260677Provide care and assistance to perform activities of daily living for any resident who is unable. ComplaintD · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.